TESTBANK FOR OPENSTAX CLINICAL NURSING SKILLS
,Unit 1: Concepts of Comprehensive Clinical Care
● Chapter 1: The Role of the Nurse in Comprehensive Care
● Chapter 2: The Evolution of the Nurse's Role
● Chapter 3: Patient Communication and Interviewing
● Chapter 4: Obtaining a Complete Health History
● Chapter 5: Cultural Competence and Assessment
● Chapter 6: Infection Prevention Techniques and Safety in the
Clinical Setting
Unit 2: General Assessment and Special Considerations
● Chapter 7: Hygiene
● Chapter 8: Wound and Burn Assessment and Care
● Chapter 9: Activity Assessment and Management
● Chapter 10: Specimen Collection and Lab Testing
Unit 3: Medication Management
● Chapter 11: Principles of Medication Administration
● Chapter 12: Medication Administration Procedures
● Chapter 13: Intravenous Administration
● Chapter 14: Miscellaneous Medication Administration
Unit 4: Health Assessment and Promotion
● Chapter 15: General Survey, Anthropometric Measurement, and
Vital Signs
● Chapter 16: Pain Assessment
● Chapter 17: Nutrition Assessment
● Chapter 18: Oxygenation and Perfusion
● Chapter 19: Fluids, Electrolytes, and Elimination
● Chapter 20: Psychosocial Assessment
● Chapter 21: Assessment of the Integumentary System
● Chapter 22: Assessment of the Head and Neck
,● Chapter 23: Assessment of the Thorax, Lungs, Breast, and
Lymphatic System
● Chapter 24: Assessment of the Cardiovascular and Peripheral
Vascular System
● Chapter 25: Assessment of the Musculoskeletal System
● Chapter 26: Assessment of the Neurological System
● Chapter 27: Assessment of the Abdomen
● Chapter 28: Clinical Judgment and Critical Thinking
, Chapter 1: The Role of the Nurse in Comprehensive Care
Question 1
A nurse is assigned to four patients during the morning shift. Which patient should the nurse
assess first?
A. A patient who is scheduled for a routine physical therapy session in one hour.
B. A patient with a chronic cough who is requesting their scheduled cough suppressant.
C. A patient who underwent an abdominal cholecystectomy yesterday and reports pain as a
5/10.
D. A patient who was admitted overnight with pneumonia and has become increasingly restless
and confused.
Correct Answer: D
Rationale: Using the ABCs (Airway, Breathing, Circulation) and the "Acute vs. Chronic"
prioritization framework, the patient with pneumonia who is now restless and confused is
the priority. Restlessness and confusion are early signs of hypoxia (inadequate
oxygenation). Options A, B, and C represent stable or expected findings that do not take
precedence over a potential respiratory compromise.
Question 2
A nurse is preparing to perform a sterile wound dressing change. Which action by the nurse
best demonstrates the "Evaluation" phase of the nursing process?
A. Documenting the size, color, and odor of the wound bed in the electronic health record.
B. Assessing the patient’s pain level before beginning the procedure.
C. Comparing the current wound measurements to the measurements taken two days ago to
determine if healing is occurring.
D. Explaining the steps of the procedure to the patient to reduce anxiety.
Correct Answer: C
Rationale: Evaluation involves comparing the patient’s current status against established
goals or previous data to determine the effectiveness of the plan of care. Option A is
,Unit 1: Concepts of Comprehensive Clinical Care
● Chapter 1: The Role of the Nurse in Comprehensive Care
● Chapter 2: The Evolution of the Nurse's Role
● Chapter 3: Patient Communication and Interviewing
● Chapter 4: Obtaining a Complete Health History
● Chapter 5: Cultural Competence and Assessment
● Chapter 6: Infection Prevention Techniques and Safety in the
Clinical Setting
Unit 2: General Assessment and Special Considerations
● Chapter 7: Hygiene
● Chapter 8: Wound and Burn Assessment and Care
● Chapter 9: Activity Assessment and Management
● Chapter 10: Specimen Collection and Lab Testing
Unit 3: Medication Management
● Chapter 11: Principles of Medication Administration
● Chapter 12: Medication Administration Procedures
● Chapter 13: Intravenous Administration
● Chapter 14: Miscellaneous Medication Administration
Unit 4: Health Assessment and Promotion
● Chapter 15: General Survey, Anthropometric Measurement, and
Vital Signs
● Chapter 16: Pain Assessment
● Chapter 17: Nutrition Assessment
● Chapter 18: Oxygenation and Perfusion
● Chapter 19: Fluids, Electrolytes, and Elimination
● Chapter 20: Psychosocial Assessment
● Chapter 21: Assessment of the Integumentary System
● Chapter 22: Assessment of the Head and Neck
,● Chapter 23: Assessment of the Thorax, Lungs, Breast, and
Lymphatic System
● Chapter 24: Assessment of the Cardiovascular and Peripheral
Vascular System
● Chapter 25: Assessment of the Musculoskeletal System
● Chapter 26: Assessment of the Neurological System
● Chapter 27: Assessment of the Abdomen
● Chapter 28: Clinical Judgment and Critical Thinking
, Chapter 1: The Role of the Nurse in Comprehensive Care
Question 1
A nurse is assigned to four patients during the morning shift. Which patient should the nurse
assess first?
A. A patient who is scheduled for a routine physical therapy session in one hour.
B. A patient with a chronic cough who is requesting their scheduled cough suppressant.
C. A patient who underwent an abdominal cholecystectomy yesterday and reports pain as a
5/10.
D. A patient who was admitted overnight with pneumonia and has become increasingly restless
and confused.
Correct Answer: D
Rationale: Using the ABCs (Airway, Breathing, Circulation) and the "Acute vs. Chronic"
prioritization framework, the patient with pneumonia who is now restless and confused is
the priority. Restlessness and confusion are early signs of hypoxia (inadequate
oxygenation). Options A, B, and C represent stable or expected findings that do not take
precedence over a potential respiratory compromise.
Question 2
A nurse is preparing to perform a sterile wound dressing change. Which action by the nurse
best demonstrates the "Evaluation" phase of the nursing process?
A. Documenting the size, color, and odor of the wound bed in the electronic health record.
B. Assessing the patient’s pain level before beginning the procedure.
C. Comparing the current wound measurements to the measurements taken two days ago to
determine if healing is occurring.
D. Explaining the steps of the procedure to the patient to reduce anxiety.
Correct Answer: C
Rationale: Evaluation involves comparing the patient’s current status against established
goals or previous data to determine the effectiveness of the plan of care. Option A is
